| 输尿管镜术治疗肾绞痛的疗效 |
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| 引用本文： | 李为兵,刘南,李新,李龙坤. 输尿管镜术治疗肾绞痛的疗效[J]. 第三军医大学学报, 2004, 26(9): 830-831 |
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| 作者姓名： | 李为兵 刘南 李新 李龙坤 |
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| 作者单位： | 第三军医大学西南医院全军泌尿外科中心,重庆,400038;第三军医大学西南医院全军泌尿外科中心,重庆,400038;第三军医大学西南医院全军泌尿外科中心,重庆,400038;第三军医大学西南医院全军泌尿外科中心,重庆,400038 |
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| 摘 要： | 目的应用输尿管镜探寻肾绞痛病因并及时排除输尿管梗阻,缓解疼痛.方法对50例肾绞痛患者施行急诊经尿道输尿管镜检查术,同时对于0.5 cm以下结石予以取石治疗,对于0.5 cm以上结石予以碎石并留置双"J"管或输尿管导管.结果取石成功12例,气压碎石成功30例,3例未发现结石和其它病变置入双"J"管内引流治疗好转,3例输尿管结石游走至肾脏予以ESWL治疗,2例找出相关病因,为进一步诊治提供可靠依据.无并发症发生.结论经尿道输尿管镜术是治疗肾绞痛安全、有效的方法.
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| 关 键 词： | 肾绞痛 输尿管镜 |
| 文章编号： | 1000-5404(2004)09-0830-02 |
| 修稿时间： | 2004-01-18 |
Ureteroscopy for diagnosis and treatment of renal colic |
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| LI Wei bing,LIU Nan,LI Xin,LI Long kun. Ureteroscopy for diagnosis and treatment of renal colic[J]. Acta Academiae Medicinae Militaris Tertiae, 2004, 26(9): 830-831 |
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| Authors: | LI Wei bing LIU Nan LI Xin LI Long kun |
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| Abstract: | Objective To evaluate the clinical efficacy of ureteroscopy for the diagnosis and treatment of renal colic. Methods A total of 50 cases of renal colic were diagnosed and treated by ureteroscopy. Stones with size smaller than 0 5 cm were removed, but lithoclasty was performed on those stones with size bigger than 0 5 cm. In addition, J shaped catheters or ureteral catheters were indwelt for drainage. Results Successful removal of stones and lithoclasty were achieved in 12 and 30 cases, respectively. No urolithiasis and other lesions were found in 3 cases. Improvement was found in those cases with indwelt catheters. The average stay was 4-5 d. Correlative etiological factors were found in 2 patients by ureteroscopy. Conclusion Transurethral ureteroscopy is an effective and safe method for the diagnosis and treatment of renal colic. |
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| Keywords: | renal colic ureteroscopy |
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